VT 05148.0096.1A4NDHAL1 COUNTY (Jul 1990 • Dec 1991) u • E EN ti CT 06830-5638, FAIRFIELD COUNTY (Jan 1983 • Apr 1966) DOB: Yocc- 1 4- si xce< Jed Ina.' I k 4 between 01/01/1963 and 12/31/1964 Re OB : 81 m aiiiiiiii DN0E81.11r iabeizonsen 01/01/1963 and 12/31/1964 asue)N-Kcoc Lssued in NEWYORK